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General NPI Number Information
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NPI Number | 1659032985
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Entity Type | Individual
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Provider Name | YEDIDYA K DEAR MSN, APRN, CRNP, RN
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Gender | Male
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Dates
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Enumeration Date | 01/08/2022
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 2909 S HAMPTON RD # D107
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City | DALLAS
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State | TX
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Zip | 75224-3000
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Country | US
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Telephone | 214-467-3832
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Fax | 972-521-6986
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Provider Business Mailing Address
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Address Line | PO BOX 795801
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City | DALLAS
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State | TX
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Zip | 75379-5801
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Country | US
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Telephone | 469-718-9110
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1065937
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 1065937
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 292904
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1065937
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License Number State | TX
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